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KEY OBSERVATIONS Textbook cold-chain handling featured ice packs, dry ice, insulated packaging, and a clear barrier between the cold materials and medication
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GLP-1 medications are prescription-only drugs and require close medical supervision
Metformin should be temporarily stopped during acute illness, severe dehydration, or before procedures requiring iodinated contrast media to reduce the rare risk of lactic acidosis, and restarted only when renal function is stable
Instead of three meals, four or five smaller eating occasions spread throughout the day maintain more consistent blood sugar
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